245601 05/20/15 CITY OF CARMEL, INDIANA VENDOR: 366093
® it ONE CIVIC SQUARE REPUBLIC WASTE SERVICE-TRASH COL(Eld(!CK AMOUNT: $""'97,166.07'
CARMEL, INDIANA 46032 ATTN:NANCY COLLINS CHECK NUMBER: 245601
832 LANGSDALE AVE CHECK DATE: 05/20/15
INDIANAPOLIS IN 46202-1150
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 MAY 4/17 97,166.07 OTHER EXPENSES
Republic Services
832 Langsdale Ave
Indianapolis, IN 46202-1150
ATTN: Nancy Collins
Account# 3-0761-9761020
$$$$ Collected By Carmel Utilities
May 4 to May 17 $ 182.73 2014 Rate
Less Administrative Fee 2014 $ (5.00)
20 Payments
May 4 to May 17 $ 99,121.84 2015 Rate
Less Administrative Fee 2015 $ (2,578.50)
10,314 Payments
Cart Deliveries $ 445.00
Payment to Republic $ 97,166.07
Prescribed by State Board of Accounts
Form No.301 (Rev.1995) ACCOUNTS PAYABLE VOUCHER
To -40 USS<<c - 3 D13 - NAC4 C l GLL
ADDRESS u 3a La�.,l,5Q4.L� UA
Invoice Date Invoice Number Item Amount
Cay 44,14 A,4q y-,')
I hereby certify that the attached invoice(s), or bill(s), is (are) true and correct and that the materials or services
itemized thereon for which charge is made were ordered and received except
/ylay '� d� '� d�
Signature Title
I hereby certify that the attached invoice(s), or bill(s), is (are)tru and correct and I have audited same in accordance
with IC 5-11-10-1.6.
19
Officer Title
Voucher No. Warrant No.
ACCOUNTS PAYABLE DETAILED ACCOUNTS
MUNICIPAL WATER DEPT. ACCT.
NO.
CARMEL, INDIANA
iPV5Lt c -3"043 Favor Of etc-/
j'3p1 L4,,4,5D4L1 A-1-
4,AP ,I-N (fya001•it S'0
Total Amount of Voucher $
Deductions
i
ZA
aq N�� 97lCo1�
Amount of Warrant $
Month of j��S�
VOUCHER RECORD Acct.
No.
Source of Supply
Water Treatment
Transmission and Dist.
Customer Accounts
Administrative and General
Operation-Maintenance
Utility Plant in Service
Constr.Work in Progress
Materiais and Supplies
Customers Deposits
Total
Allowed
Board of Control
Filed
Official Title
BOYCE FORMS•SYSTEMS 1-800-382.8702 325